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Integrating lean thinking and mathematical optimization: A case study in appointment scheduling of hematological treatments

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  • Agnetis, Alessandro
  • Bianciardi, Caterina
  • Iasparra, Nicola

Abstract

This paper addresses the relationship between lean thinking and mathematical optimization. We discuss the roles of the two approaches, using as a reference case study the appointment scheduling process in a hematological center of a large Italian hospital. We report on how lean tools have been deployed to improve the process, we present a mathematical optimization model and discuss its implementation. Our aim is to show that the joint use of lean thinking and mathematical optimization can disclose large benefits when they are properly integrated in the improvement process. In our case study, simulated experiments point out that the average patient lead time could be decreased by more than 30%.

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  • Agnetis, Alessandro & Bianciardi, Caterina & Iasparra, Nicola, 2019. "Integrating lean thinking and mathematical optimization: A case study in appointment scheduling of hematological treatments," Operations Research Perspectives, Elsevier, vol. 6(C).
    • Handle: RePEc:eee:oprepe:v:6:y:2019:i:c:s2214716018301969
    DOI: 10.1016/j.orp.2019.100110
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    2. Hadid, Majed & Elomri, Adel & Mekkawy, Tarek El & Jouini, Oualid & Kerbache, Laoucine & Hamad, Anas, 2022. "Operations management of outpatient chemotherapy process: An optimization-oriented comprehensive review," Operations Research Perspectives, Elsevier, vol. 9(C).
    3. Diego Tlapa & Guilherme Tortorella & Flavio Fogliatto & Maneesh Kumar & Alejandro Mac Cawley & Roberto Vassolo & Luis Enberg & Yolanda Baez-Lopez, 2022. "Effects of Lean Interventions Supported by Digital Technologies on Healthcare Services: A Systematic Review," IJERPH, MDPI, vol. 19(15), pages 1-23, July.
    4. Majed Hadid & Adel Elomri & Regina Padmanabhan & Laoucine Kerbache & Oualid Jouini & Abdelfatteh El Omri & Amir Nounou & Anas Hamad, 2022. "Clustering and Stochastic Simulation Optimization for Outpatient Chemotherapy Appointment Planning and Scheduling," IJERPH, MDPI, vol. 19(23), pages 1-34, November.
    5. Letícia Bianchini de Barros & Laura Passos Caldas & Elena Bohomol & Alice Sarantopoulos & Vinicius Minatogawa & Renata Cristina Gasparino, 2022. "Evaluation of Waste Related to the Admission Process of Low-Complexity Patients in Emergency Services, in Light of the Lean Healthcare Philosophy," IJERPH, MDPI, vol. 19(12), pages 1-11, June.

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